Organization Active NPI

Ya-Chun Wang, DDS, PLLC

  • Dentist
  • Mount Vernon, WA
National Provider Identifier
1548675317
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60477545 Issued in WA
Legal business name
YA-CHUN WANG, DDS, PLLC
Practice address
2210 Kulshan View Dr
Mount Vernon, WA 98273-2779
Phone
(360) 424-3811
Fax
(360) 424-8703
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ya-Chun Wang, DDS
Title
Dentist
Phone
(425) 903-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60477545 WA Primary

Addresses

Primary practice location

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779

Mailing address

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1548675317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811",
            "fax_number": "360-424-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YA-CHUN WANG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YA-CHUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-903-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60477545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.